S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        2743--A
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 31, 2011
                                      ___________
       Introduced  by  Sens.  SERRANO,  HASSELL-THOMPSON,  KRUEGER, MONTGOMERY,
         PERKINS, SAMPSON, SAVINO -- read twice and ordered printed,  and  when
         printed to be committed to the Committee on Higher Education -- recom-
         mitted  to the Committee on Higher Education in accordance with Senate
         Rule  6,  sec.  8  --  committee  discharged,  bill  amended,  ordered
         reprinted as amended and recommitted to said committee
       AN ACT to amend the education law and the public health law, in relation
         to  requiring  cultural  awareness and competence training for medical
         professionals
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The education law is amended by adding a new section 6505-d
    2  to read as follows:
    3    S  6505-D.  COURSE  WORK  OR TRAINING IN CULTURAL AWARENESS AND COMPE-
    4  TENCE. 1. EVERY  PHYSICIAN,  PHYSICIAN  ASSISTANT,  DENTIST,  REGISTERED
    5  NURSE, LICENSED PRACTICAL NURSE, PODIATRIST, OPTOMETRIST AND NURSE PRAC-
    6  TITIONER PRACTICING IN THE STATE WHO PROVIDES DIRECT MEDICAL SERVICES TO
    7  PATIENTS  IN  THIS  STATE  SHALL,  ON OR BEFORE JULY FIRST, TWO THOUSAND
    8  TWELVE AND EVERY REGISTRATION PERIOD THEREAFTER, COMPLETE COURSE WORK OR
    9  TRAINING REGARDING CULTURAL AWARENESS AND COMPETENCE IN THE PROVISION OF
   10  MEDICAL SERVICES IN ACCORDANCE WITH  REGULATED STANDARDS PROMULGATED  BY
   11  THE  DEPARTMENT,  IN  CONSULTATION  WITH  THE DEPARTMENT OF HEALTH. SUCH
   12  CULTURAL AWARENESS AND COMPETENCE COURSE WORK OR TRAINING SHALL  REQUIRE
   13  TWO  HOURS  OF  COURSE WORK OR TRAINING ENCOMPASSING MINORITY HEALTHCARE
   14  ISSUES INCLUDING ETHNIC, RELIGIOUS, LINGUISTIC, SEXUAL  ORIENTATION  AND
   15  GENDER  IDENTITY  HEALTHCARE ISSUES AND THEIR IMPACT ON MINORITY HEALTH-
   16  CARE. IN PROMULGATING REGULATORY STANDARDS PURSUANT TO THIS SECTION  THE
   17  DEPARTMENT  IS  ADVISED  TO CONSULT WITH ORGANIZATIONS REPRESENTATIVE OF
   18  PROFESSIONS, INSTITUTIONS AND THOSE WITH EXPERTISE IN CULTURAL AWARENESS
   19  AND COMPETENCE.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD00165-04-2
       S. 2743--A                          2
    1    2. AS USED IN THIS SECTION, "ACCEPTABLE FORMAL  CONTINUING  EDUCATION"
    2  SHALL  MEAN FORMAL PROGRAMS OF LEARNING WHICH CONTRIBUTE TO PROFESSIONAL
    3  PRACTICE AND WHICH MEET THE STANDARDS PRESCRIBED BY REGULATIONS  OF  THE
    4  COMMISSIONER. TO FULFILL THE MANDATORY CONTINUING EDUCATION REQUIREMENT,
    5  PROGRAMS  MUST  BE TAKEN FROM SPONSORS HAVING THE FACILITIES, EQUIPMENT,
    6  AND FINANCIAL AND PHYSICAL RESOURCES  TO  PROVIDE  CONTINUING  EDUCATION
    7  COURSES,  APPROVED BY THE DEPARTMENT, PURSUANT TO THE REGULATIONS OF THE
    8  COMMISSIONER.  CONTINUING EDUCATION MAY BE PROVIDED IN AN INTERNET-BASED
    9  COURSE FORMAT AS APPROVED BY THE DEPARTMENT.
   10    3. EACH SUCH PROFESSIONAL SHALL ATTEST TO THE DEPARTMENT AT  THE  TIME
   11  OF REGISTRATION COMMENCING WITH THE FIRST REGISTRATION AFTER JULY FIRST,
   12  TWO  THOUSAND  ELEVEN THAT THE PROFESSIONAL HAS COMPLETED COURSE WORK OR
   13  TRAINING IN ACCORDANCE WITH THIS SECTION.
   14    4. THE DEPARTMENT SHALL PROVIDE AN EXEMPTION FROM THIS REQUIREMENT  TO
   15  ANYONE  WHO REQUESTS SUCH AN EXEMPTION AND WHO: (I) CLEARLY DEMONSTRATES
   16  TO THE DEPARTMENT'S SATISFACTION THAT THERE WOULD BE NO NEED FOR HIM  OR
   17  HER  TO  COMPLETE  SUCH COURSE WORK OR TRAINING BECAUSE OF THE NATURE OF
   18  HIS OR HER PRACTICE; (II) HAS COMPLETED COURSE WORK OR  TRAINING  DEEMED
   19  BY  THE  DEPARTMENT  TO  BE  EQUIVALENT  TO  THE COURSE WORK OR TRAINING
   20  APPROVED BY THE DEPARTMENT PURSUANT TO THIS SECTION; (III) HAS COMPLETED
   21  COURSE WORK OR TRAINING PERTAINING TO CULTURAL AWARENESS AND  COMPETENCE
   22  WHICH  HAS BEEN INCORPORATED AS PART OF A RISK MANAGEMENT COURSE OFFERED
   23  PURSUANT TO SUBDIVISION  (E)  OF  SECTION  TWO  THOUSAND  THREE  HUNDRED
   24  FORTY-THREE OF THE INSURANCE LAW, PROVIDED THAT SUCH EDUCATIONAL CONTENT
   25  HAS  BEEN  APPROVED  BY  THE  SUPERINTENDENT  OF INSURANCE; OR (IV) IS A
   26  MEDICAL PROFESSIONAL WHO IS ON A TOUR OF EXTENDED ACTIVE DUTY  WITH  THE
   27  ARMED FORCES OF THE UNITED STATES.
   28    5.  AT THE BEGINNING OF EACH REGISTRATION PERIOD, A MANDATORY CONTINU-
   29  ING  EDUCATION  FEE  OF FIVE DOLLARS SHALL BE COLLECTED FROM ALL PERSONS
   30  REQUIRED TO COMPLETE THE COURSE  WORK  AND  TRAINING  REQUIRED  BY  THIS
   31  SECTION;  PROVIDED  THAT  ANY  PERSON OBTAINING AN EXEMPTION PURSUANT TO
   32  SUBDIVISION FOUR OF THIS SECTION SHALL NOT BE REQUIRED TO PAY SUCH  FIVE
   33  DOLLAR  FEE.  THIS FEE SHALL BE IN ADDITION TO ALL OTHER EXISTING REGIS-
   34  TRATION FEES.
   35    6. THE COMMISSIONER IS AUTHORIZED TO PROMULGATE REGULATIONS TO  IMPLE-
   36  MENT THE PROVISIONS OF THIS SECTION.
   37    ANY  PERSON  SUBJECT  TO  THE  PROVISIONS OF THIS SECTION, WHO FALSELY
   38  ATTESTS TO HAVING COMPLETED THE REQUIRED COURSE WORK OR  TRAINING  SHALL
   39  BE  SUBJECT  TO PROFESSIONAL MISCONDUCT AS PROVIDED BY SUBDIVISION TWEN-
   40  TY-ONE OF SECTION SIXTY-FIVE HUNDRED THIRTY OF THIS TITLE  AND  SUBDIVI-
   41  SION NINE OF SECTION SIXTY-FIVE HUNDRED NINE OF THIS TITLE.
   42    S  2.  Paragraph  (f) of subdivision 1 of section 2805-k of the public
   43  health law, as amended by chapter 477 of the laws of  2008,  is  amended
   44  and a new subdivision 5 is added to read as follows:
   45    (f)  Documentation  that  the  physician,  dentist  or  podiatrist has
   46  completed the course work or training as mandated by section two hundred
   47  thirty-nine of this chapter or section [six  thousand  five]  SIXTY-FIVE
   48  hundred five-b of the education law OR SECTION SIXTY-FIVE HUNDRED FIVE-D
   49  OF  THE  EDUCATION LAW.  A hospital or facility shall not grant or renew
   50  professional privileges or  association  to  a  physician,  dentist,  or
   51  podiatrist who has not completed such course work or training.  A HOSPI-
   52  TAL  OR  FACILITY SHALL NOT KNOWINGLY GRANT OR RENEW PROFESSIONAL PRIVI-
   53  LEGES OR ASSOCIATION TO ANYONE  REQUIRED  TO  COMPLETE  COURSE  WORK  OR
   54  TRAINING  UNLESS  SAID PERSON HAS ATTESTED TO HAVING TAKEN SUCH REQUIRED
   55  COURSE WORK OR TRAINING.
       S. 2743--A                          3
    1    5. PRIOR TO HIRING OR OTHERWISE GRANTING  PRIVILEGES  TO  A  PHYSICIAN
    2  ASSISTANT,  REGISTERED NURSE, LICENSED PRACTICAL NURSE OR OPTOMETRIST OR
    3  A HOSPITAL OR FACILITY APPROVED PURSUANT TO THIS ARTICLE  SHALL  REQUEST
    4  FROM  SUCH  PERSON DOCUMENTATION THAT HE OR SHE HAS COMPLETED THE COURSE
    5  WORK OR TRAINING AS MANDATED BY SECTION SIXTY-FIVE HUNDRED FIVE-D OF THE
    6  EDUCATION  LAW. A HOSPITAL OR FACILITY SHALL NOT HIRE OR OTHERWISE GRANT
    7  PRIVILEGES TO A PHYSICIAN ASSISTANT, REGISTERED NURSE, LICENSED  PRACTI-
    8  CAL  NURSE  OR  OPTOMETRIST  WHO  HAS  NOT COMPLETED SUCH COURSE WORK OR
    9  TRAINING.
   10    S 3.  This act shall take effect immediately.